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Original Research

Longitudinal Imaging-Based Clusters in Former Smokers of the COPD Cohort Associate with Clinical Characteristics: The SubPopulations and Intermediate Outcome Measures in COPD Study (SPIROMICS)

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Pages 1477-1496 | Published online: 31 May 2021

Figures & data

Table 1 Demography and Post-Bronchodilator Pulmonary Function Tests for 55 Stratum 1 (Healthy Never-Smokers), 133 Stratum 2, 237 Stratum 3 and 102 Stratum 4 Subjects

Figure 1 An expanded set of imaging-based metrics. (A) Local structures based on the image at inspiration: θ, Cr, WT*, and Dh*. (B) Global and lobar function based on images at inspiration and expiration: fSAD%. (C) Global and lobar function based on images at inspiration and expiration: Emph%. (D) Global structure. (E) Registration-based global and lobar functions.

Figure 1 An expanded set of imaging-based metrics. (A) Local structures based on the image at inspiration: θ, Cr, WT*, and Dh*. (B) Global and lobar function based on images at inspiration and expiration: fSAD%. (C) Global and lobar function based on images at inspiration and expiration: Emph%. (D) Global structure. (E) Registration-based global and lobar functions.

Figure 2 A summary of imaging and associated clinical characteristics between clusters. ●Baseline variables. ○One-year change variables. +Bigger than that of healthy never-smokers. ++Biggest among clusters. –Smaller than that of healthy never-smokers. –Smallest among clusters. Increased over one year. Decreased over one year.

Figure 2 A summary of imaging and associated clinical characteristics between clusters. ●Baseline variables. ○One-year change variables. +Bigger than that of healthy never-smokers. ++Biggest among clusters. –Smaller than that of healthy never-smokers. –Smallest among clusters. ↑Increased over one year. ↓Decreased over one year.

Table 2 Major Imaging-Based Features Selected by Wilk’s λ Method in Four Imaging-Based Clusters. The Importance of Variables is Decreasing from Left to Right and Top to Bottom

Table 3 Major Functional Features in Four Imaging-Based Clusters and Never Smokers (Stratum 1)

Table 4 Baseline fSAD and Its Progression in Each Cluster

Table 5 Baseline Emphysema and Its Progression in Each Cluster

Figure 3 Baseline fSAD% and Emph% and their change over one year. (A) fSAD% for four clusters and the healthy control group (green and represented by cluster h). (B) Emph% for four clusters and the healthy control group (green). (C) Percentage of change of fSAD% with respect to baseline fSAD% in total lung. (D) Percentage of change of Emph% with respect to baseline Emph% in total lung.

Figure 3 Baseline fSAD% and Emph% and their change over one year. (A) fSAD% for four clusters and the healthy control group (green and represented by cluster h). (B) Emph% for four clusters and the healthy control group (green). (C) Percentage of change of fSAD% with respect to baseline fSAD% in total lung. (D) Percentage of change of Emph% with respect to baseline Emph% in total lung.

Figure 4 Changes of PFTs measures, fSAD% and Emph% over one year. (A) The average fSAD% and Emph% at baseline and follow-up visits. (B) The mean post-bronchodilator FEV1%predicted and FEV1/FVC ratio at baseline and follow-up visits.

Figure 4 Changes of PFTs measures, fSAD% and Emph% over one year. (A) The average fSAD% and Emph% at baseline and follow-up visits. (B) The mean post-bronchodilator FEV1%predicted and FEV1/FVC ratio at baseline and follow-up visits.

Figure 5 Baseline (left column) and one-year follow-up (right column) fSAD (red) and emphysematous regions (green) of cluster-representative subjects. (C1, C2, C3, and C4) refer to cluster 1, cluster 2, cluster 3, and cluster 4, respectively.

Figure 5 Baseline (left column) and one-year follow-up (right column) fSAD (red) and emphysematous regions (green) of cluster-representative subjects. (C1, C2, C3, and C4) refer to cluster 1, cluster 2, cluster 3, and cluster 4, respectively.

Figure 6 Baseline and its change over one year. (A) for four clusters and the healthy control group at baseline (green). (B) Percentage of change of with respect to at baseline for four clusters.

Figure 6 Baseline and its change over one year. (A) for four clusters and the healthy control group at baseline (green). (B) Percentage of change of with respect to at baseline for four clusters.

Table 6 Segmental Airway Features at Specific Regions

Table 7 Demography, Post-Bronchodilator PFTs in Four Imaging-Based Clusters

Table 8 Associations of Symptoms and Disease Histories with Cluster Membership

Table 9 Biomarkers for Longitudinal Clusters